Heart transplantation from an extended criteria donation after circulatory death donor

被引:1
作者
Vokshi, Ismail [1 ]
Large, Stephen [1 ]
Berman, Marius [1 ]
Tsui, Steven [1 ]
机构
[1] Royal Papworth Hosp, Transplant Unit, Cambridge, England
关键词
Heart transplantation; Donation after circulatory death donor; Thoraco-abdominal normothermic regional perfusion;
D O I
10.1093/ejcts/ezac083
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transplantation of donation after circulatory death (DCD) donor hearts is gaining acceptance. However, DCD heart selection has been understandably cautious. We report a case of reconditioning a DCD heart using thoraco-abdominal normothermic regional perfusion in a 46-year-old donor who suffered irreversible brain injury following emergency type-A aortic dissection repair. The DCD heart was procured with cold preservation and directly transplanted into a 63-year-old male who was bridged to transplant with extracorporeal life support. The recipient required a brief period of mechanical circulatory support post-transplant but made a good recovery. To our knowledge, this is the first report of successful heart transplantation from such an extended criteria DCD donor.
引用
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页数:3
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